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Clinical Problem Solving: Pathology
August 2007

Pathology Quiz Case 1—Diagnosis

Author Affiliations

Copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2007

Arch Otolaryngol Head Neck Surg. 2007;133(8):841. doi:10.1001/archotol.133.8.841

Nodular fasciitis, also known as nodular fibrositis, pseudosarcomatous fasciitis, or subcutaneous pseudosarcomatous fibromatosis, is a benign, reactive process that most commonly affects the upper extremities and the trunk, followed by the head and neck area.1 Patients usually present with a few weeks' history of a rapidly growing mass that may be painful.1 Nodular fasciitis is less common in the orbit and its adnexae.2,3 We report a case of nodular fasciitis of the medial canthal area that presented with epiphora and pseudodacryocystitis.